Breast metastasis from nasopharyngeal carcinoma: A case report and review of the literature
- Authors:
- Ben I. Leach
- Bonnie Sun
- Lydia Petrovic
- Stephen V. Liu
View Affiliations
Affiliations: Department of Medicine, Keck University of Southern California School of Medicine, Los Angeles, CA 90033, USA, Department of Surgery, Keck University of Southern California School of Medicine, Los Angeles, CA 90033, USA, Department of Pathology, Keck University of Southern California School of Medicine, Los Angeles, CA 90033, USA, Division of Medical Oncology, Norris Comprehensive Cancer Center, Keck University of Southern California School of Medicine, Los Angeles, CA 90033, USA
- Published online on: April 12, 2013 https://doi.org/10.3892/ol.2013.1303
-
Pages:
1859-1861
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Although often localized at diagnosis, nasopharyngeal carcinoma (NPC) has an established potential for distant metastasis. Breast metastasis from NPC is an uncommon presentation. In the present case study, the fifth reported case of breast metastasis from NPC is presented and the use of Epstein‑Barr virus testing is demonstrated for the confirmation of this diagnosis. A 49‑year‑old female was diagnosed with advanced NPC and developed a unilateral breast mass. The biopsy was indicative of a primary breast carcinoma. Subsequent Epstein‑Barr virus testing was positive in the primary tumor and the breast mass, establishing the true diagnosis of NPC metastasis to the breast. In summary, breast metastasis from NPC is an uncommon presentation and Epstein‑Barr virus testing is suitable for confirmation of the diagnosis and exclusion of primary breast cancer.
View References
1
|
Dickens P, Srivastava G, Loke SL, Chan CW
and Liu YT: Epstein-Barr virus DNA in nasopharyngeal carcinomas
from Chinese patients in Hong Kong. J Clin Pathol. 45:396–397.
1992. View Article : Google Scholar : PubMed/NCBI
|
2
|
Wei WI and Sham JS: Nasopharyngeal
carcinoma. Lancet. 365:2041–2054. 2005. View Article : Google Scholar : PubMed/NCBI
|
3
|
Raab-Traub N: Epstein-Barr virus in the
pathogenesis of NPC. Semin Cancer Biol. 12:431–441. 2002.
View Article : Google Scholar : PubMed/NCBI
|
4
|
Ahmad A and Stefani S: Distant metastases
of nasopharyngeal carcinoma: a study of 256 male patients. J Surg
Oncol. 33:194–197. 1986. View Article : Google Scholar : PubMed/NCBI
|
5
|
Sham JS and Choy D: Breast metastasis from
nasopharyngeal carcinoma. Eur J Surg Oncol. 17:91–93. 1991.
|
6
|
Driss M, Abid L, Mrad K, Dhouib R, Charfi
L, Bouzaein A and Ben Romdhane K: Breast metastases from
undifferentiated nasopharyngeal carcinoma. Pathologica. 99:428–430.
2007.PubMed/NCBI
|
7
|
Yeh CN, Lin CH and Chen MF: Clinical and
ultrasonographic characteristics of breast metastases from
extramammary malignancies. Am Surg. 70:287–290. 2004.PubMed/NCBI
|
8
|
Elgui de Oliveira D, Furtado Monteiro TA,
Alencar de Melo W, Amaral Rebouças Moreira M, Alvarenga M and
Bacchi CE: Lack of Epstein-Barr virus infection in cervical
carcinomas. Arch Pathol Lab Med. 123:1098–1100. 1999.PubMed/NCBI
|
9
|
Amichetti M, Perani B and Boi S:
Metastases to the breast from extramammary malignancies. Oncology.
47:257–260. 1990. View Article : Google Scholar : PubMed/NCBI
|
10
|
Shahrokni A, Rajebi MR and Saif MW: Breast
metastasis of small bowel carcinoid tumor misdiagnosed as primary
breast cancer. Ann Saudi Med. 29:320–321. 2009. View Article : Google Scholar : PubMed/NCBI
|
11
|
Lee WY, Hsiao JR, Jin YT and Tsai ST:
Epstein-Barr virus detection in neck metastases by in-situ
hybridization in fine-needle aspiration cytologic studies: an aid
for differentiating the primary site. Head Neck. 22:336–340. 2000.
View Article : Google Scholar : PubMed/NCBI
|
12
|
Tsai ST, Jin YT and Su IJ: Expression of
EBER1 in primary and metastatic nasopharyngeal carcinoma tissues
using in situ hybridization. A correlation with WHO histologic
subtypes. Cancer. 77:231–236. 1996. View Article : Google Scholar : PubMed/NCBI
|